Individual provider · Type 1 NPI
Reine Mary Archer, FNP
Family Nurse Practitioner · Stony Brook, NY
NPI number
1376107748
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
615 Broadway Apt 82
Amityville, NY 11701-2143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F342125-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376107748
Reine Mary Archer, FNP's National Provider Identifier is 1376107748, issued on Apr 30, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 27, 2023.